Modelling for prediction of the spread and severity of COVID-19 and its association with socioeconomic factors and virus types

Research Article | DOI: https://doi.org/10.31579/2692-9406/014

Modelling for prediction of the spread and severity of COVID-19 and its association with socioeconomic factors and virus types

  • Shreshth Tuli 1
  • Shikhar Tuli 2
  • Ruchi Verma 3
  • Rakesh Tuli 4*

*Corresponding Author: Rakesh Tuli, Design Innovation Center, University Institute of Engineering and Technology, Panjab University, Chandigarh, India.

Citation: Shreshth T, Shikhar T, R Vermac and Rakesh T. (2020) Modelling for prediction of the spread and severity of COVID-19 and its association with socioeconomic factors and virus types. Biomedical Research and Clinical Reviews. 1(3); DOI: 10.31579/2692-9406/014

Copyright: © 2020 Rakesh Tuli, This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited

Received: 21 July 2020 | Accepted: 24 August 2020 | Published: 14 September 2020

Keywords: COVID-19; coronavirus; machine learning; epidemic prediction; so- cioeconomic predictors

Abstract

We report the development of a Weibull based Long-Short-Term-Memory approach (W-LSTM) for the prediction of COVID-19 disease. The W-LSTM model developed in this study, performs better in terms of MSE, R2 and MAPE, as compared to the previously published models, including ARIMA, LSTM and their variations. Using W-LSTM model, we have predicted the beginning and end of the current cycle of COVID-19 in several countries.  Performance of the model was validated as satisfactory in 82% of the 50 test countries, while asking for prediction for 10 days beyond the period of training. Accuracy of the above prediction with days beyond training was assessed in comparison with the MAPE that the model gave with cumulative global data. The model was applied to study correlation between the growth of infection and deaths, and a number of effectors that may influence the epidemic. The model identified age groups, trade with China, air traffic, country temperature and CoV-2 virus types as the likely effectors of infection and virulence leading to deaths. The predictors likely to promote or suppress the epidemic were identified. Some of the predictors had significant effect on the shape parameters of Weibull distribution. The model has been deployed on cloud, taking inputs in real time to handle large data country wise, at low costs and make predictions dynamically. Such predictions are highly valuable in guiding policy makers, administration and health. Interactive prediction curves generated from the W-LSTM model deployed on cloud platform can be seen at http://collaboration.coraltele.com/covid2/ (updated daily).
Abbreviations: ML: Machine Learning; SARS-CoV-2: Severe Acute Respiratory Syndrome Coronavirus 2; COVID-19: Coronavirus disease

Introduction

Since the first few reports from Wuhan, China in December, 2019, the Coronavirus disease COVID-19 has now spread globally to more than 200 countries and territories. It has been declared a pandemic by WHO. In the absence of a curative drug or vaccine, containing the disease by non-pharmaceutical approaches is the highest priority to guard against its continued outbreak and spread. It is caused by a member of the SARS group of viruses, called novel Coronavirus CoV-2, which is more contagious than the previously known SARS viruses. In a large proportion of the cases, CoV-2 incubates in individuals with no exhibited symptoms, who continue to spread the infection. Within a period offewer than 6 months, more than six million people have globally been tested as infected byCoV-2, which has claimed some 370000 lives. Containing and managing the spread of COVID-19 requires anticipating well in advance, the magnitude and dimension that a pandemic like this, may take in the comingmonths. Mathematical models for simulating the phase-based human transmissibility of the disease, requires detailed knowledge of the epidemiological parameter srelatedtoits infectivity and spread. Systematic data on key epidemiological parameters such as basic reproduction number (a few to several cases to which an individual may pass the disease by direct and indirect contact), incubation period (2 to 14 days and longer when an individual may or may not have symptoms but spreads the disease), sensitivity time (time it takes for a suspected individual to be diagnosed as a confirmed infected case in community), serial transmission time, virustype etc., show large variability (depending upon the socioeconomic, health and environmental factors) and are at early stages of study[1]. Based on such parameters, classical models, like SIR and its variations like SEIQDR [2] and SIDARTHE [3] have been developed for the modelling of COVID-19 disease to guide the implementation of community-level interventions to contain and manage the epidemic. However, the parameters related to such models vary, depending upon the ecosystem. These are not easy to assess and fully accommodated in the models. Hence, the accuracy and predictability of the mathematical models for forecasting the epidemic become limiting, though such Open Access Research Article Biomedical Research and Clinical Reviews Rakesh Tuli AUCTORES Globalize your ResearchInternational Journal of Clinical Case Reports and Reviews Copy rights@ Rakesh Tuli et.al. Auctores Publishing – Volume 1(2)-014 www.auctoresonline.org ISSN: 2690-4861 Page 2 of 35 models help take community-level decisions. A powerful alternative approach to capture the temporal components of the epidemic and deploy those for predicting the future course of action is statistical modelling. With the growth of machine learning methods, it has become possible to utilize the statistical principles and build models after learning the principles and parameters from the data itself. With the availability of real time data on the pandemic from nearly 200 countries, it is immediately desirable to apply deep learning methods that learn from country-wise data and make predictions, without making the core assumptions required in the epidemiological models. Artificial intelligence (AI) based approaches can handle large data in real-time and can utilize global data from the cloud at low costs to make predictions dynamically. Such predictions are highly valuable in guiding policymakers, administration and health departments for data-driven management of the pandemic, at levels varying from communities, territories and countries. A number of research papers have been published in the last six months on the development of models based on multiple linear regression, Gaussian and Bayesian statistics and time series analysis. Some of the recent publications include the application of ARIMA [4] and its variants [4]. The advent of Deep Learning has shown that Recurrent Neural Networks[5] and Long Short-Term Memory (LSTM) [6, 7, 8] outperform previously used models, due to their ability to generalize to diverse series types and provide much higher prediction accuracy. Yet there is a need to improve the accuracy and duration of prediction by these models. The AIbased models embody the unique feasibility of making quick adjustments in response to any local factors that may impact the course of the epidemic. This study presents an improved approach to forecast course of the epidemic, compares its performance with other contemporary methods and applies the model to analyze associations between a variety of socioeconomic determinants likely to affect the spread ofthe infection and the resultant deaths. The predictionmodel was used to forecast dimensions ofthe epidemic in 30 countries. Anumberofsocioeconomic predictorsthat influence infection and deathwere identified. The model was also applied to predict if the global data on the infections suggests the evolution of COV-2 virus into variants that differed in their degree of virulence. The model was applied to make predictions at desired time points. Once connected to real time data, it can take inputs in real time to re-learn and make autocorrections in short and long-term predictions for future dates.

Methods

Prediction Model 

We have earlier reported that the growth of the COVID-19 epidemic fits Weibull distribution better than the Gaussian, Beta 4, Fisher-Tippet and NormalLogarithmic distributions[9]. Forseveral countries, the number of daily new infections and deaths was modeled by an improved “Robust Weibull” machine learning approach that fits a Generalized Weibull Distribution (GIW) as shown below: 

(x) = · μ · þ · αþ · x−1−þ · exp − μα )þ  .                                                      (1) 

The above model uses an iterative weighting strategy, calculating weights using residuals from the fit curve, to prevent outliers and noisy data that lead to poor curve fits using the Levenberg-Marquardt (LM) method [10] as shown in Algorithm 1. However, this model faces a serious limitation of being very sensitive to new data that may differ even marginally from the data used for building the model. Whenever new data is added, the earlier model is trained from the very beginning. This does not allow predictions to be made with high confidence as they fit curve itself changes significantly with even a single day’s new data. To improve the model in this respect, we developed a time series model to capture the temporal dependence of the model parameters and predict the appropriate parameter set. Series analysis has been used abundantly in the past for various activities like weather forecasting, language translation, etc. Models like ARIMA [4] have prominently been used in the past. However, the advent of Deep Learning has shown that Recurrent Neural Networks [5] and Long ShortTerm Memory (LSTM) [11] outperform previously used models mostly due their ability to generalize to diverse series types and provide much higher prediction accuracy

Algorithm 1

 

We use LSTM to analyze and predict the best GIW parameters. (K,α,β,γ) LSTM models use three types of "gates" to analyze the data sequence: input, forget and output gates. A single LSTM cell takes as input the sequence data corresponding to each time-step and a hidden state. Now, for an input at xt at time t:LSTM models use three types of "gates" to analyze the data sequence: input, forget and output gates. A single LSTM cell takes as input the sequence data corresponding to each time-step and a hidden state. Now, for an input at xtat time t:

 (2)

    (3)

  (4)

Where it corresponds to the input gate, ft forget gate and ot output gate. Here, each gate has its weightmatrix and bias value b. Moreover, ht−1 is the outputfor the previous time-step. To outputht andhidden state ct arecalculated as follows:

       (5)

                                                  (6)  

Where ct−1 is the hidden state of the previous type step. The Equations 2 to 6 can be written compactly as:

ht, ct = LST M(xt, ht−1, ct−1).                                         (7)

The LSTM model can be applied to a complete time sequence to predict the output at the end of the sequence. Main features of the model are given in Figure 1. The time-series LSTM model is applied to the parameters of the Weibull distribution 

. The “iterative" optimization, provided by the LSTM, helps in an under-fitted model to be transformed into a model optimally fitted to the data. The resultant hybrid model is named here as Weibull-LSTM (W-LSTM).

Model Training: To train the W-LSTM model, we use a sequence of 10 curve fits obtained from Robust-Weibull Curve fitting (Algorithm 1).  The curve parameters of each of these curves is given as input to the LSTM network in the order of increasing data size as shown in Figure 1. The loss corresponding to each input set is calculated as the Mean Square Error (MSE) between the prediction and the actual 

 values. This is then weighted by the normalized inverse error (1- MAPE100)

, where MAP E corresponds to the error of the curve corresponding to the input shape parameters. This gives higher weight to those parameter sets which have lower MAPE scores, allowing the model to converge to better parameter values. Detailed description of the training process is given in Algorithm 2.

Figure 1: LSTM Model

Prediction: To predict the best set of parameters for a given data of countries (number of daily new cases/deaths), we use Algorithm 3. Again, the data is used to generate 10 curves. The 10 curves use a subset of original data with last n datapoints removed, where n decreases from 9 to 0 (m in Algorithm 3 is 10 in our case). The LSTM network (trained using Algorithm 2) is given the sequence of curve parameters fit by Algorithm 1 for the 10 curves in a sequence. The final output is used as theparameters of the GIW curve and predictions are made using this distribution.

Cloud Framework

To provide a fail-safe computation and quick data analysis, we propose a framework to deploy the W-LSTM model on cloud data-centers. In a cloud-based environment, the government hospitals and private health-centers continuously send their positive patient count. For this case study, we used three instances of single-core Azure B1s virtual machines with 1-GiB RAM, SSD Storage and 64-bit Microsoft Windows Server 2016[1]. We used the FogBus [12] framework to deploy the W-LSTM model and generate prediction plots daily[2]. We analyzed that the cost of tracking patients daily, amortized CPU consumption and Cloud execution is 57% and only 2.9 USD per day. As the dataset size increases, computationally more powerful resources would be needed.

Inferential Statistics

Inferential statistics was applied through Pearson correlation and step-wise multiple linear regression analysis. After fitting a regression model, the p-values were used at 5\% (p<0>

Data Sources

Epidemic data: The data related to daily new cases of confirmed infections and deaths as a consequence of covid-19 in different countries was downloaded from Our World in Data COVID-19 Dataset at https://ourworldindata.org/coronavirus. The site updates its data on daily basis from European Centre for Disease Prevention and May 19, 2020 was used for learning the model based on W-LSTM. Predictions were made he numeral value for daily new infections came down to one.

Socioeconomic data: The data related to country wise socioeconomic parameters were taken from a number of open source public resources. These include Index Mundi and World Bank at the following links. https://www.indexmundi.com/facts/indicators/SH.MLR.TRET.ZS; and World Bank https://wits.worldbank.org/CountryProfile/en/Country/CHN/Year/2018/

Virus Type data: The data related to the eleven different types of COV-2 virus strains (technically, clades) was taken from https://www.biorxiv.org/content/10.1101/2020.05.04.075911v1.supplementary-material [13]. The frequency of the type of COV-2 was determined by the authors in 62 countries, based on the 6181 nucleotide sequences of the genomes sequenced in those countries by April 16, 2020. The frequency data were smoothed by Laplace transform. The original data is given in Supplementary Table 1A. The frequency data before and after smoothing is given in Supplementary Tables 1B and 1C respectively. The Laplace transform data (Supplementary Table 1C) was used in the analysis here. 

Government Stringency Index: The daily score was calculated as in Oxford Government Response Tracker (https://www.bsg.ox.ac.uk/sites/default/files/Calculation\ and\ presentation\ of\ the\ Stringency\ Index.pdf) and was taken from Our World in Data.  The score is based on several factors including the closure of schools, market places, works, public gatherings etc. taken as emergency intervention measures to implement social distancing.

Table 1: Evaluation of different models on 5 representative countries, for predicting COVID-19 infections. W-LSTM performs significantly better than other distributions. The lowest value of MSE/MAPE and highest values of R2 are shown in bold.

Supplementary Table 1A.​

Supplementary Table 1B.

Supplementary Table 1C.

 

Results

Testing of the W-LSTM model on representative countries

As reported earlier [9] the Robust Weibull curve fitting technique performs superior to other fitting models including - Gaussian, Beta 4, Fisher-Tippet and Log-Normal. In this paper, we have developed an LSTM-based Robust Weibull approach (W-LSTM) and compared it with other published methods for the accuracy of prediction based on different estimates of error. We analyzed results obtained from COVID-19 infection data from 5 representative countries: world, India, USA, UK and Italy. Table gives a comparison of the fitness accuracy of the W-LSTM model. It gives distinctly better results, as compared to the other distributions, and also the previously used ARIMA [5] and Simple LSTM [6, 7] models that have been applied to COVID-19 infection data. The W-LSTM-based approach developed in this study performs better in terms of MSE, R2 and MAPE, as compared to the previously published models. This model was therefore applied to several countries for further analysis. The daily new infection and death curves based on W-LSTM model are plotted for 30 countries in Supplementary Figure 1 from the beginning to the predicted end of the current epidemic cycle. Curves for the world and a few countries with the highest cases are reproduced in Figure 2. Data giving the analysis of infections, deaths etc. and shape parameters 

 are given in Supplementary Table 2.

W-LSTM prediction of infections and deaths till end of the epidemic cycle

The W-LSTM model was applied to publicly available data on daily new cases of infections and deaths from several countries as per the data available till May 19, 2020. Raw data from different countries have lots of missing, incomplete and inconsistent entries, and therefore does not fit any distribution satisfactorily. Out of the 50 countries where sufficient data (for at least 3 months) is available for public view, the W-LSTM model, fits well on 30 countries. These countries were selected for further analysis. Supplementary Figure 1 shows the actual daily values as bars and compares those with the best fitting daily infection and death curves for the predicted values for these 30 countries. Unlike what we had expected, the peak positions of the infection and death curves for the 30 countries, do not show consistency in the survival time indicated by the time difference between the peaks of the curves. This difference should represent the average survival time of population from infection to fatality. In hospital based epidemiological studies, the survival time from disease onset to death varies from 14 to 22 days [14]. As noticed in Supplementary Figure 1, in case of some countries, the deaths data begins and reach the peak height before the infection curve. This is obviously because of late start and large under reporting of infections in several countries, due to insufficient screening of population, unavailability of diagnostic kits in required numbers, inconsistent quality of the diagnostic kits and their high costs [15]. The limitations of diagnostics, along with ambiguities in the interpretation of COVID as the cause of death, differences in average population age and other metabolic disorders etc., also effect the calculations. Due to these reasons, the fatality rates reported from different countries vary from 1 to 7% and more [16]. The survival time difference as indicated by the infection and death curves for the 30 countries varied from 8 to 20 days (Table 2), with an average at 6 days. The small-time difference is obviously because in many cases, the infection curve rises slower largely due to under reporting.

Table 2: Prediction results for select 30 countries + World.

Supplementary Table 2

Table 3: Correlation of COVID-19 infections and deaths (at end of the epidemic as per W-LSTM model) and the parameters   of the Model with socio-economic predictor variables. The level of significance of the correlation is indicated by ** for p < 0>

Supplementary Table 3.

Figure 2: New daily cases and deaths curves for world and a few of the highest affected countries

Supplementary Figure 1.

Table 2 gives the predicted total (cumulative) number of cases for each of the 30 countries as per the W-LSTM model, till the date when the daily new case count is predicted to fall down to single infection. The cumulative number of predicted infections and deaths at end of the epidemic are given in Table 2 along with the country wise dates when 97% of the epidemic will be over. The results show, that out of the 30 countries, India will continue to report cases till as late as the beginning of 2022. The W-LSTM model curve for India (Supplementary Figure 1 and the link http://collaboration.coraltele.com/covid2/) also shows that the country is yet to reach its plateau. As a representative case, Table 2 gives the total number of infections and deaths predicted on June 30th viz., 42 days after the date till when the model was trained.

A validation of the model is given in Supplementary Table 3 where the model trained on data till May 19th was tested for 10 days beyond the period of training on 50 countries. The analysis shows that the predictions by the model trained on data till May 19th matched well with the actual values reported during 10 days following the period of training. The MAPE for the predicted vs actual data on daily deaths to happen during the 10 days after the period of training was less than that for the world (44.32) in 93% of the countries, when the selected 30 countries on which W-LSTM gave good fit were used. At a higher level of stringency viz., MAPE less than 25, the predictions were very good for 70% of the countries (Supplementary Table 3, column C). When additional 20 countries were included, the predictions for daily deaths during the next 10 days beyond the period of training continued to be good. In this case, the MAPE for prediction of deaths during the next 10 days for the 50 countries was less than that for the world in 82% of the countries (Column G). It was less than 25 in case of 58% of the 50 test countries. Quite understandably, the predictions for new infections had higher error rate than those for deaths (Columns B and F), because, as explained earlier, the infections data are highly variable from country to country and have larger proportion of outliers, due to variable approaches to diagnosis of daily new infections.

Identification of likely effectors of infections and deaths
The W-LSTM model was applied on likely factors to have a preliminary analysis of the factors that may influence the growth of the pandemic across countries. To identify such effectors, Pearson correlation was computed between parameters of the epidemic and the likely effectors. The 5 parameters selected for the study were total (cumulative) cases of infection as predicted by W-LSTM till the end of infection cycle, total (cumulative) deaths till the predicted end of cycle, total infections/ population of the country, total deaths/ population of the country and mortality (deaths/infections). The correlations between these 5 parameters and 7 likely effectors are shown in Table 3. Besides the 5 population-based parameters, the likely relationship of the effectors was also estimated in terms of correlation with the 4 parameters 

 related to shape of the Weibull curve. The correlations with k, α, β, and γ were computed for both the infection and the deaths curves modelled from the beginning of infection to the end of the cycle. As seen in Table 3, a number of highly significant (**) and significant (*) associations are suggested by the correlations. Also, the associations are both in form of promoting the parameter related to the epidemic (positive correlation) and in suppressing the epidemic (Negative correlation). For example, elderly population beyond 65 years in age showed a highly significant positive correlation with mortality. This suggests, the elderly is more likely to get more severe disease and die, as compared to the younger population across the globe. Hence, the countries with more proportion of elderly population are more likely to see deaths. The absence of significant correlation of the above-65 age group with total infections per population suggests that the elderly are likely not more prone to getting infected as compared to others, but are more likely to get a severe disease. The elderly age group shows a negative correlation (p< 0>k and γ. In this model, k increases the peak of the distribution at the same x-coordinate value. On the other hand, increasing α and γ moves the curve forward and flattens it.

However, this behavior is observed on reducing β. In that context, α and γ have opposite effect on the curve shape compared to þ. If k and γ are held constant, it is clear from the figure that lower values of α and β lead to a flattened and elongated curve (purple) compared to the case with higher values of α and β (red). Thus, a positive correlation with α and β and a negative correlation with k would mean a higher peak with a more prolonged effect of the disease.

Figure 3: Death cases for constant k = 10000 and γ = 2500 with (a) higher values of α = 38.5, β = 4.6 in red and (b) lower values of α = 22, β = 3.4 in purple

Table 4: Predicted association of CoV-2 virus types with the WLSTM predicted growth of COVID-19 pandemic across countries. @: Blank cells indicate the absence of predictions in favor of significant influence.

Prediction of likely effect of CoV-2 virus type on the pandemic

The various parameters of infection at the population level, as predicted by W-LSTM and the parameters related to shape of the curve were examined for correlation with virus types that have evolved and spread across countries, since initiation of the pandemic in Wuhan in December 2019. The virus types described here, are technically the clades that show differences in the nucleotides in the RNA genome of the virus. The SARS-CoV-2 virus has a = 29926 nucleotide long genome. By now more than 37000 viruses isolated from human patients from different countries have been sequenced across the globe and the sequences deposited at GISAID Database (https://www.gisaid.org). These viruses show about 87% similarity that can be used to cluster them into distinct groups called, clades. Bhattacharya et al.[11] deployed 6181 of the CoV-2 genome sequences and clustered those into 11 groups that are shown in Supplementary Table 1A as the virus types. The frequency of these virus types reported from 61 countries was smoothed by Laplace transform (Supplementary Table 1C) and applied to the group of 30 countries used for modelling the epidemic by W-LSTM. The correlations (Table 4) suggest that the virus type A2a has a highly significant association with deaths / population. Hence this may be the most virulent strain with respect to causing mortality at the end of the current cycle of the epidemic. A number of strains show a negative correlation with deaths, and thus are infective but less likely killing. Two strains, B and A3 show a negative correlation with infections per population, thus suggesting that the countries with a prevalence of B and A3 may more likely get a milder disease.

Table 5:Predictor variables that significantly influence the growth of infection and intensity of disease caused by CoV-2.The inference is drawn from Tables 3 & 4

Discussion

The novel coronavirus CoV-2 continues to be leaving a death trail, midst devastating sweep of infection, fear and economic loss across the globe. The only strategy to manage the pandemic currently is the non-pharmaceutical approaches. The first need is to have preparedness of the hospitals to manage patients for the least distress to patients, quick recovery and minimal mortality. The second important need is to prepare the society for sufficient isolation wards, quarantine centers and social distancing to contain the spread of the infection. Identifying infected cases is central to such containment, but non-availability and non-affordability of quality diagnostic kits is a serious limitation. Whole population screening is a utopian thought and the savaging character of CoV-2 to continue to be incubated in a large proportion of the population without causing any symptoms, weakens all management strategies.

Management of COVID-19 requires a robust prediction of the size, duration and dimensions of the ensuing epidemic.as discussed in the background, machine learning methods, backed by good statistical modelling provide a good opportunity to develop on line dynamic systems to prepare the society for managing such an epidemic. Because the time series models are based on original numbers from a country, these models may be better predictions of the trend, rather than mathematical models based on epidemiological parameters whose values are often variable, do not account for a variety of socioeconomic, managerial and environmental interventions and involve certain assumptions. The hybrid model developed by us utilizes Weibull distribution as the best fit to the disease data on population and integrates the advantage of self-learning to smooth outliers and train itself in response to shifting trends and fluctuations in data. We have given error based analysis to establish that W-LSTM is superior to other Gaussian and Bayesian distributions used by others. Our model is also superior to other time series applications, including the variations of ARIMA and LSTM. Our analysis shows that W-LSTM trains itself well on country data and makes good predictions with low MAPE for data beyond the period on which the model was trained, as well as for countries that were not part of the constituent data. We have shown that the predictions hold good for 10 days beyond the period of training. We have given predictions for the 42nd day (June 30th, 2020) after the last date of training and for the day when the model predicts the current cycle of the epidemic to end. The latter two predictions for future will establish the power and applicability of the model, provided the socioeconomic, environmental and administrative factors remain fairly similar to the conditions as prevailing at the time of the training dataset.

Various population and shape parameters of W-LSTM based modelling of total infections and deaths at end of the epidemic in 30 countries were used to study correlations with a variety of effectors that may influence the spread and severity of the epidemic. Table 5, summarizes several variables/ effectors that are likely to exercise significant influence in determining the course of the epidemic. Some of the predictors have a positive influence, while others have suppressing influence. Different age groups respond to CoV-2 infection in different ways. The 65 plus age group is vulnerable to getting the disease in its severe form, though not particularly vulnerable to getting infected. Old age has been suggested as an independent risk factor associated with individuals getting clinically infected with COVID-19 [17]. Meta-data analysis suggesting lower vulnerability of children to falling clinically sick with COVID-19 has also been reported [18, 19].

Countries with higher trade with China and higher air passenger traffic show the likelihood of getting higher level of infections. The average yearly temperature in a country, and effective social distancing are likely to have a significant suppressive effect on the spread of COVID-19. Interestingly, the strains of the causative virus CoV-2 show differential association with the growth of infection and severity of the disease. In a recent analysis, high temperature and humidity were reported to reduce the daily new cased and new deaths [20] One strain, namely A2a particularly is likely to be associated with severity of the disease. A number of strains are likely to cause infection but not likely to lead to the severity of the disease. The corresponding effect on shape parameters of the model is seen in some cases, as shown in Table 5.

COVID-19 pandemic is being handled differently in different countries. The government policies related to screening of the population, isolation of confirmed infectious individuals, quarantine of likely infected individuals based on contact tracking, hospital and health care facilities, social distancing measures, the socio-economic structure of communities, lockdown extent and measures etc., will determine the future development of new cases, recoveries and deaths. In response to government measures, the transmission and growth of the epidemic will change dynamically [21].Currently, a majority of the countries are tapering down closures and lockdowns and are opting for partial lockdown as a strategy to phase out lifting of the lockdown. In some cases, primarily because of unawareness or misinformation, pockets of infected individuals stay unnoticed, and are discovered following a search campaign by the government. In other 

cases, unplanned migration of workers from cities to rural homelands may shift the territory of infection. Each of these actions affects the distribution of infected and deceased cases in populations differently. This calls for a model to be agile and able to adapt to changing patterns. This can be accommodated in the LSTM-based approach proposed by us. The ARIMA models perform well for stationary time series. LSTMs are beneficial due to the fact that they can store the features of the data for long periods of time. The “iterative" optimization, provided by an LSTM, helps in an under-fitted model to be transformed into a model optimally fitted to the data.

When applying LSTM directly on the number of cases or deaths data (Simple LSTM in Table1), the model is not able to utilize the underlying temporal distribution followed by the data and hence performs poorly. Hence, W-LSTM outperforms approaches trying to model the time-series distribution of cases/deaths directly using LSTM [6, 7]. On the other hand, the W-ARIMA, applies ARIMA on the distribution parameters and only performs well for stationary time series. Further, LSTMs are beneficial due to the fact that they can store the features of the data for long periods of time. The model proposed here can be operated on cloud and linked to global databases to be updated on real-time basis [22]. The model is made to respond appropriately to any temporal changes and learn to modify its forecast. A static version of the model is available on http://collaboration.coraltele.com/covid2/.
Software Availability
Our prediction model is available online at https://github.com/shreshthtuli/covid-19-prediction.  Few interactive graphs can be seen at https://collaboration.coraltele.com/covid2/ wherein the W-LSTM model has been deployed on cloud platform using FogBus [12] framework.
Acknowledgements
R. Tuli acknowledges the grant provided by Science Engineering Research Board, Department of Science Technol- ogy, Government of India towards the JC Bose National Fellowship. Authors acknowledge Coral Telecom Ltd., Noida, India for hosting the model on their server.
Declaration of Interests
The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

References

Clearly Auctoresonline and particularly Psychology and Mental Health Care Journal is dedicated to improving health care services for individuals and populations. The editorial boards' ability to efficiently recognize and share the global importance of health literacy with a variety of stakeholders. Auctoresonline publishing platform can be used to facilitate of optimal client-based services and should be added to health care professionals' repertoire of evidence-based health care resources.

img

Virginia E. Koenig

Journal of Clinical Cardiology and Cardiovascular Intervention The submission and review process was adequate. However I think that the publication total value should have been enlightened in early fases. Thank you for all.

img

Delcio G Silva Junior

Journal of Women Health Care and Issues By the present mail, I want to say thank to you and tour colleagues for facilitating my published article. Specially thank you for the peer review process, support from the editorial office. I appreciate positively the quality of your journal.

img

Ziemlé Clément Méda

Journal of Clinical Research and Reports I would be very delighted to submit my testimonial regarding the reviewer board and the editorial office. The reviewer board were accurate and helpful regarding any modifications for my manuscript. And the editorial office were very helpful and supportive in contacting and monitoring with any update and offering help. It was my pleasure to contribute with your promising Journal and I am looking forward for more collaboration.

img

Mina Sherif Soliman Georgy

We would like to thank the Journal of Thoracic Disease and Cardiothoracic Surgery because of the services they provided us for our articles. The peer-review process was done in a very excellent time manner, and the opinions of the reviewers helped us to improve our manuscript further. The editorial office had an outstanding correspondence with us and guided us in many ways. During a hard time of the pandemic that is affecting every one of us tremendously, the editorial office helped us make everything easier for publishing scientific work. Hope for a more scientific relationship with your Journal.

img

Layla Shojaie

The peer-review process which consisted high quality queries on the paper. I did answer six reviewers’ questions and comments before the paper was accepted. The support from the editorial office is excellent.

img

Sing-yung Wu

Journal of Neuroscience and Neurological Surgery. I had the experience of publishing a research article recently. The whole process was simple from submission to publication. The reviewers made specific and valuable recommendations and corrections that improved the quality of my publication. I strongly recommend this Journal.

img

Orlando Villarreal

Dr. Katarzyna Byczkowska My testimonial covering: "The peer review process is quick and effective. The support from the editorial office is very professional and friendly. Quality of the Clinical Cardiology and Cardiovascular Interventions is scientific and publishes ground-breaking research on cardiology that is useful for other professionals in the field.

img

Katarzyna Byczkowska

Thank you most sincerely, with regard to the support you have given in relation to the reviewing process and the processing of my article entitled "Large Cell Neuroendocrine Carcinoma of The Prostate Gland: A Review and Update" for publication in your esteemed Journal, Journal of Cancer Research and Cellular Therapeutics". The editorial team has been very supportive.

img

Anthony Kodzo-Grey Venyo

Testimony of Journal of Clinical Otorhinolaryngology: work with your Reviews has been a educational and constructive experience. The editorial office were very helpful and supportive. It was a pleasure to contribute to your Journal.

img

Pedro Marques Gomes

Dr. Bernard Terkimbi Utoo, I am happy to publish my scientific work in Journal of Women Health Care and Issues (JWHCI). The manuscript submission was seamless and peer review process was top notch. I was amazed that 4 reviewers worked on the manuscript which made it a highly technical, standard and excellent quality paper. I appreciate the format and consideration for the APC as well as the speed of publication. It is my pleasure to continue with this scientific relationship with the esteem JWHCI.

img

Bernard Terkimbi Utoo

This is an acknowledgment for peer reviewers, editorial board of Journal of Clinical Research and Reports. They show a lot of consideration for us as publishers for our research article “Evaluation of the different factors associated with side effects of COVID-19 vaccination on medical students, Mutah university, Al-Karak, Jordan”, in a very professional and easy way. This journal is one of outstanding medical journal.

img

Prof Sherif W Mansour

Dear Hao Jiang, to Journal of Nutrition and Food Processing We greatly appreciate the efficient, professional and rapid processing of our paper by your team. If there is anything else we should do, please do not hesitate to let us know. On behalf of my co-authors, we would like to express our great appreciation to editor and reviewers.

img

Hao Jiang

As an author who has recently published in the journal "Brain and Neurological Disorders". I am delighted to provide a testimonial on the peer review process, editorial office support, and the overall quality of the journal. The peer review process at Brain and Neurological Disorders is rigorous and meticulous, ensuring that only high-quality, evidence-based research is published. The reviewers are experts in their fields, and their comments and suggestions were constructive and helped improve the quality of my manuscript. The review process was timely and efficient, with clear communication from the editorial office at each stage. The support from the editorial office was exceptional throughout the entire process. The editorial staff was responsive, professional, and always willing to help. They provided valuable guidance on formatting, structure, and ethical considerations, making the submission process seamless. Moreover, they kept me informed about the status of my manuscript and provided timely updates, which made the process less stressful. The journal Brain and Neurological Disorders is of the highest quality, with a strong focus on publishing cutting-edge research in the field of neurology. The articles published in this journal are well-researched, rigorously peer-reviewed, and written by experts in the field. The journal maintains high standards, ensuring that readers are provided with the most up-to-date and reliable information on brain and neurological disorders. In conclusion, I had a wonderful experience publishing in Brain and Neurological Disorders. The peer review process was thorough, the editorial office provided exceptional support, and the journal's quality is second to none. I would highly recommend this journal to any researcher working in the field of neurology and brain disorders.

img

Dr Shiming Tang

Dear Agrippa Hilda, Journal of Neuroscience and Neurological Surgery, Editorial Coordinator, I trust this message finds you well. I want to extend my appreciation for considering my article for publication in your esteemed journal. I am pleased to provide a testimonial regarding the peer review process and the support received from your editorial office. The peer review process for my paper was carried out in a highly professional and thorough manner. The feedback and comments provided by the authors were constructive and very useful in improving the quality of the manuscript. This rigorous assessment process undoubtedly contributes to the high standards maintained by your journal.

img

Raed Mualem

International Journal of Clinical Case Reports and Reviews. I strongly recommend to consider submitting your work to this high-quality journal. The support and availability of the Editorial staff is outstanding and the review process was both efficient and rigorous.

img

Andreas Filippaios

Thank you very much for publishing my Research Article titled “Comparing Treatment Outcome Of Allergic Rhinitis Patients After Using Fluticasone Nasal Spray And Nasal Douching" in the Journal of Clinical Otorhinolaryngology. As Medical Professionals we are immensely benefited from study of various informative Articles and Papers published in this high quality Journal. I look forward to enriching my knowledge by regular study of the Journal and contribute my future work in the field of ENT through the Journal for use by the medical fraternity. The support from the Editorial office was excellent and very prompt. I also welcome the comments received from the readers of my Research Article.

img

Dr Suramya Dhamija

Dear Erica Kelsey, Editorial Coordinator of Cancer Research and Cellular Therapeutics Our team is very satisfied with the processing of our paper by your journal. That was fast, efficient, rigorous, but without unnecessary complications. We appreciated the very short time between the submission of the paper and its publication on line on your site.

img

Bruno Chauffert

I am very glad to say that the peer review process is very successful and fast and support from the Editorial Office. Therefore, I would like to continue our scientific relationship for a long time. And I especially thank you for your kindly attention towards my article. Have a good day!

img

Baheci Selen

"We recently published an article entitled “Influence of beta-Cyclodextrins upon the Degradation of Carbofuran Derivatives under Alkaline Conditions" in the Journal of “Pesticides and Biofertilizers” to show that the cyclodextrins protect the carbamates increasing their half-life time in the presence of basic conditions This will be very helpful to understand carbofuran behaviour in the analytical, agro-environmental and food areas. We greatly appreciated the interaction with the editor and the editorial team; we were particularly well accompanied during the course of the revision process, since all various steps towards publication were short and without delay".

img

Jesus Simal-Gandara

I would like to express my gratitude towards you process of article review and submission. I found this to be very fair and expedient. Your follow up has been excellent. I have many publications in national and international journal and your process has been one of the best so far. Keep up the great work.

img

Douglas Miyazaki

We are grateful for this opportunity to provide a glowing recommendation to the Journal of Psychiatry and Psychotherapy. We found that the editorial team were very supportive, helpful, kept us abreast of timelines and over all very professional in nature. The peer review process was rigorous, efficient and constructive that really enhanced our article submission. The experience with this journal remains one of our best ever and we look forward to providing future submissions in the near future.

img

Dr Griffith

I am very pleased to serve as EBM of the journal, I hope many years of my experience in stem cells can help the journal from one way or another. As we know, stem cells hold great potential for regenerative medicine, which are mostly used to promote the repair response of diseased, dysfunctional or injured tissue using stem cells or their derivatives. I think Stem Cell Research and Therapeutics International is a great platform to publish and share the understanding towards the biology and translational or clinical application of stem cells.

img

Dr Tong Ming Liu

I would like to give my testimony in the support I have got by the peer review process and to support the editorial office where they were of asset to support young author like me to be encouraged to publish their work in your respected journal and globalize and share knowledge across the globe. I really give my great gratitude to your journal and the peer review including the editorial office.

img

Husain Taha Radhi

I am delighted to publish our manuscript entitled "A Perspective on Cocaine Induced Stroke - Its Mechanisms and Management" in the Journal of Neuroscience and Neurological Surgery. The peer review process, support from the editorial office, and quality of the journal are excellent. The manuscripts published are of high quality and of excellent scientific value. I recommend this journal very much to colleagues.

img

S Munshi

Dr.Tania Muñoz, My experience as researcher and author of a review article in The Journal Clinical Cardiology and Interventions has been very enriching and stimulating. The editorial team is excellent, performs its work with absolute responsibility and delivery. They are proactive, dynamic and receptive to all proposals. Supporting at all times the vast universe of authors who choose them as an option for publication. The team of review specialists, members of the editorial board, are brilliant professionals, with remarkable performance in medical research and scientific methodology. Together they form a frontline team that consolidates the JCCI as a magnificent option for the publication and review of high-level medical articles and broad collective interest. I am honored to be able to share my review article and open to receive all your comments.

img

Tania Munoz

“The peer review process of JPMHC is quick and effective. Authors are benefited by good and professional reviewers with huge experience in the field of psychology and mental health. The support from the editorial office is very professional. People to contact to are friendly and happy to help and assist any query authors might have. Quality of the Journal is scientific and publishes ground-breaking research on mental health that is useful for other professionals in the field”.

img

George Varvatsoulias

Dear editorial department: On behalf of our team, I hereby certify the reliability and superiority of the International Journal of Clinical Case Reports and Reviews in the peer review process, editorial support, and journal quality. Firstly, the peer review process of the International Journal of Clinical Case Reports and Reviews is rigorous, fair, transparent, fast, and of high quality. The editorial department invites experts from relevant fields as anonymous reviewers to review all submitted manuscripts. These experts have rich academic backgrounds and experience, and can accurately evaluate the academic quality, originality, and suitability of manuscripts. The editorial department is committed to ensuring the rigor of the peer review process, while also making every effort to ensure a fast review cycle to meet the needs of authors and the academic community. Secondly, the editorial team of the International Journal of Clinical Case Reports and Reviews is composed of a group of senior scholars and professionals with rich experience and professional knowledge in related fields. The editorial department is committed to assisting authors in improving their manuscripts, ensuring their academic accuracy, clarity, and completeness. Editors actively collaborate with authors, providing useful suggestions and feedback to promote the improvement and development of the manuscript. We believe that the support of the editorial department is one of the key factors in ensuring the quality of the journal. Finally, the International Journal of Clinical Case Reports and Reviews is renowned for its high- quality articles and strict academic standards. The editorial department is committed to publishing innovative and academically valuable research results to promote the development and progress of related fields. The International Journal of Clinical Case Reports and Reviews is reasonably priced and ensures excellent service and quality ratio, allowing authors to obtain high-level academic publishing opportunities in an affordable manner. I hereby solemnly declare that the International Journal of Clinical Case Reports and Reviews has a high level of credibility and superiority in terms of peer review process, editorial support, reasonable fees, and journal quality. Sincerely, Rui Tao.

img

Rui Tao

Clinical Cardiology and Cardiovascular Interventions I testity the covering of the peer review process, support from the editorial office, and quality of the journal.

img

Khurram Arshad